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CASE REPORT
Tricky brucellosis
  1. Mojtaba Hedayat Yaghoobi1,
  2. Bahaoddin Siroos2,
  3. Morteza Foroumandi3,
  4. Mehrnaz Asadi Gharabaghi4
  1. 1Department of Infectious Diseases, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
  2. 2Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
  3. 3Department of Medicine, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
  4. 4Department of Pulmonary Medicine, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
  1. Correspondence to Dr Mehrnaz Asadi Gharabaghi, asadi_m{at}tums.ac.ir

Summary

We present a 23-year-old woman who was admitted due to fever, palpitation, musculoskeletal pain and a transient bout of sudden-onset left-sided hemiparesis. She had also myopericarditis according to echocardiography findings. After comprehensive diagnostic work-up for infectious and immunologic disorders, brucellosis was confirmed by bone marrow aspiration culture. She received doxycycline, rifampin and trimethoprim-sulfamethoxazole for 3 months. The treatment was continued with doxycycline and rifampin for another 6 months. By the end of treatment, she recovered completely with no evidence of persistent neurological or cardiac complications.

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